| NPI | 1447698360 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: SC 81711) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IA R9753) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: GA 82119) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: SC 81711) | |
| Enumeration Date | 2013-06-13 |
| Last Update Date | 2021-03-15 |